基于数据挖掘探讨药食同源方药治疗痛经用药规律
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R271.11

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四川中医药文化协同发展研究中心立项课题(ZYWH1924)


Discussion on Medication Rules of Prescriptions with Medicinal and Edible Homology for Dysmenorrhea Based on Data Mining
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    摘要:

    目的: 采用数据挖掘方法探讨药食同源方药治疗痛经的组方规律。方法: 检索中国知网(CNKI)、万方数据知识服务平台(Wanfang)、维普中文期刊(VIP)、中国生物医学文献数据库(CBM) 中有关中医药治疗痛经的文献,采用SPSS、Cytospace 3.8.2 等软件对治疗痛经的中药及药食同源类中药进行频数、性味归经、功效类别、关联规则及聚类分析。结果:共纳入处方765 首,涉及中药270 味,药食同源类中药65 味。常用药食同源类中药有当归、甘草、桃仁、肉桂等;常用中药有当归、川芎、延胡索、甘草等。临床治疗痛经的中药多以补血药和活血止痛药多见,药性多为温、寒、平,以辛、苦、甘味药物居多,多归于脾、心、肝经。临床治疗痛经的药食同源类中药多见补气、补血药,药性以平、温为主,药味以辛、甘味多见,常归于脾、心、肝经。临床治疗痛经的常用中药药对有当归-川芎、当归-白芍等;常用药食同源类中药药对有当归-甘草、当归-肉桂等。聚类分析得到5 对中药核心药物组合,主要功效有行气散瘀止痛、疏肝解郁、活血化瘀止痛等;5 对药食同源类中药核心药物组合,主要功效有补益肝肾、健脾益气、补益脾肾等。结论:治疗痛经的药食同源类中药多见于补气血药物,临床常使用当归-甘草、当归-肉桂等药对配伍组合,治法多以补气养血为调补体质,辅以温里活血以止痛。

    Abstract:

    Abstract: Objective: To discuss the rules of prescriptions with medicine food homology for dysmenorrhea based on data mining. Methods: The literature on Chinese medicine treatment of dysmenorrhea was retrieved from China National Knowledge Infrastructure(CNKI), Wanfang Data (Wanfang), Chinese Scientific Journals Database(VIP), and Chinese Biomedical Databases(CBM). SPSS, Cytospace 3.8.2 and other softwares were used to analyze the frequency,properties,flavors,meridian tropism, function category, association rules and clustering of Chinese medicines and medicines of medicinal and edible homology for treating dysmenorrhea. Results: A total of 765 prescriptions were included,involving 270 Chinese medicines and 65 Chinese medicines of medicine food homology. Chinese medicines of medicinal and edible homology included Angelicae Sinensis Radix, Glycyrrhizae Radix et Rhizoma, Persicae Semen, and Cinnamomi Cortex; common Chinese medicinals included Angelicae Sinensis Radix,Chuanxiong Rhizoma,Corydalis Rhizoma,and Glycyrrhizae Radix et Rhizoma. Most of the Chinese medicines used in the clinical treatment of dysmenorrhea were blood- tonifying medicines and blood- activating and pain- relieving medicines, with the nature of warmth, cold, and balanced, the flavors of pungency,bitterness,and sweetness,and the meridian entry of the spleen meridian,the heart meridian,and the liver meridian. Most of the Chinese medicines of medicinal and edible homology used in the clinical treatment of dysmenorrhea were qi-tonifying and blood-enriching medicines,with the nature of warmth and balanced,the flavors of pungency,and sweetness,and the meridian entry of the spleen meridian,the heart meridian,and the liver meridian. Common couplet medicinals were Angelicae Sinensis Radix- Chuanxiong Rhizoma and Angelicae Sinensis Radix- Paeoniae Radix Alba. Common couplet medicines of medicinal and edible homology were Angelicae Sinensis Radix- Glycyrrhizae Radix et Rhizoma and Angelicae Sinensis Radix-Cinnamomi Cortex. Five core combinations of Chinse medicines were obtained by cluster analysis, and their main effects were: moving qi and removing blood stasis to relieve pain, soothing the liver and resolving depression to relieve pain,and activating blood and removing blood stasis to relieve pain. Five core combinations of Chinse medicines of medicinal and edible homology were obtained, and their main effects were: supplementing the liver and kidney, tortifying the spleen and replenishing qi, and tonifying the spleen and kidney. Conclusion: Chinese medicines of medicinal and edible homology for dysmenorrhea are usually medicines for qi- blood supplementing. In clinical practice, combinations including Angelicae Sinensis Radix-Glycyrrhizae Radix et Rhizoma , and Angelicae Sinensis Radix-Cinnamomi Cortex are commonly used. The main treatment methods are regulating and tonifying the body constituation by supplementing qi and nourishing blood, assisted by warming the interior and activating blood to relieve pain.

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曹怡鸿,刘倩,杨孜,王妍.基于数据挖掘探讨药食同源方药治疗痛经用药规律[J].新中医,2022,54(21):20-25

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  • 在线发布日期: 2022-11-15
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